VIP Signup Form

It’s Our Shout – Application Form

YourPlay gives you the power to track how much money and time you are spending as you play. You can also use YourPlay to set limits on the money and time you spend on gaming machines and to see your playing history online at any time.

YourPlay can be added to your loyalty membership card and used on any gaming machine in Victoria. You can register for Your Play at yourplay.com.au or ask a staff member for assistance.

Please tick this box if you do not wish to receive promotional or marketing material that may include alcohol or gaming related activities (which may be sent by post email or sms)

Are you self excluded from Gaming?*

Yes I am Self Excluded

No I am not Self Excluded

Want more information on Self Exclusion? follow the link below.

Player Activity Statement*

via Mail

via Email

From Venue

It is mandatory to select a method of receiving you player activity statement.

Would you like to register for YourPlay?*

Yes

No

I'm not sure, please contact me with more information.

YourPlay gives you the power to track how much money and time you are spending as you play. You can also use YourPlay to set limits on the money and time you spend on gaming machines and to see your playing history online at any time. YourPlay can be added to your loyalty membership card and used on any gaming machine in Victoria. You can register for YourPlay at yourplay.com.au or ask a staff member for assistance.

Identification Type*

Australian Drivers Licence

Proof of Age Card

Passport

Australian Learners Permit

Identification Number*

Identification Expiry*

Identification State (I.E. Vic)*

Confirm*

By selecting this box, I agree that I am over the age of 18 and have received, carefully read and understand the Loyalty Program Rules. I agree to strictly abide by these rules as amended from time to time, and declare that the details in this application are true and correct and that you understand the venue collects your personal information for purposes directly related to the venues functions or activities please refer to the venues privacy policy for full details of how the venue may access your personal information as well as how to lodge a complaint about a privacy breach.

By checking the box you will be subscribed to our email list and will receive our newsletters.

Do you have some feedback or want to ask us something? We’d love to hear from you!

The Phoenix Hotel a la carte Bistro offers full table service for meals & drinks. Our Executive Chef has created a menu with a focus on ‘fresh’ ingredients. As your order comes through to the kitchen watch the team go to work to prepare a freshly cooked delicious meal for you to enjoy.